Provider Demographics
NPI:1649477324
Name:WILLIAMSON, SHEILA DEAN (PHD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:DEAN
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W FLEMING DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3966
Mailing Address - Country:US
Mailing Address - Phone:828-438-6218
Mailing Address - Fax:828-439-2340
Practice Address - Street 1:420 W FLEMING DR
Practice Address - Street 2:SUITE C
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3966
Practice Address - Country:US
Practice Address - Phone:828-438-6218
Practice Address - Fax:828-439-2340
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2549103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC047JPOtherBCBS
NC6000973Medicaid
NC047JPOtherBCBS